DNA-pools targeted-sequencing as a robust cost-effective method to detect rare variants: application to dilated cardiomyopathy genetic diagnosis

Dilated cardiomyopathy (DCM) is a heart disease characterized by left ventricular dilatation and systolic dysfunction. In 30% of cases, pathogenic variants, essentially private to each patient, are identified in at least one of almost 50 reported genes. Thus, while costly, exons capture-based Next G...

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Hauptverfasser: Perret, Claire (VerfasserIn) , Proust, Carole (VerfasserIn) , Esslinger, Ulrike (VerfasserIn) , Ader, Flavie (VerfasserIn) , Haas, Jan (VerfasserIn) , Pruny, Jean-François (VerfasserIn) , Isnard, Richard (VerfasserIn) , Richard, Pascale (VerfasserIn) , Trégouët, David-Alexandre (VerfasserIn) , Charron, Philippe (VerfasserIn) , Cambien, François (VerfasserIn) , Villard, Eric (VerfasserIn)
Dokumenttyp: Article (Journal)
Sprache:Englisch
Veröffentlicht: 30 October 2023
Ausgabe:Online version of record before inclusion in an issue
In: Clinical genetics
Year: 2023, Pages: 1-5
ISSN:1399-0004
DOI:10.1111/cge.14427
Online-Zugang:Verlag, kostenfrei, Volltext: https://doi.org/10.1111/cge.14427
Verlag, kostenfrei, Volltext: https://onlinelibrary.wiley.com/doi/abs/10.1111/cge.14427
Volltext
Verfasserangaben:Claire Perret, Carole Proust, Ulrike Esslinger, Flavie Ader, Jan Haas, Jean-François Pruny, Richard Isnard, Pascale Richard, David-Alexandre Trégouët, Philippe Charron, François Cambien, Eric Villard

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520 |a Dilated cardiomyopathy (DCM) is a heart disease characterized by left ventricular dilatation and systolic dysfunction. In 30% of cases, pathogenic variants, essentially private to each patient, are identified in at least one of almost 50 reported genes. Thus, while costly, exons capture-based Next Generation Sequencing (NGS) of a targeted gene panel appears as the best strategy to genetically diagnose DCM. Here, we report a NGS strategy applied to pools of 8 DNAs from DCM patients and validate its robustness for rare variants detection at 4-fold reduced cost. Our pipeline uses Freebayes to detect variants with the expected 1/16 allele frequency. From the whole set of detected rare variants in 96 pools we set the variants quality parameters optimizing true positives calling. When compared to simplex DNA sequencing in a shared subset of 50 DNAs, 96% of SNVs/InsDel were accurately identified in pools. Extended to the 384 DNAs included in the study, we detected 100 variants (ACMG class 4 and 5), mostly in well-known morbid gene causing DCM such as TTN, MYH7, FLNC, and TNNT2. To conclude, we report an original pool-sequencing NGS method accurately detecting rare variants. This innovative approach is cost-effective for genetic diagnostic in rare diseases. 
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